Provider Demographics
NPI:1659514685
Name:LLOYD, DEBRA KATHLEEN (MSW,MS,CADDACII,CCS)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:KATHLEEN
Last Name:LLOYD
Suffix:
Gender:F
Credentials:MSW,MS,CADDACII,CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54470 PINON DR
Mailing Address - Street 2:
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-2345
Mailing Address - Country:US
Mailing Address - Phone:760-799-7536
Mailing Address - Fax:
Practice Address - Street 1:54470 PINON DR
Practice Address - Street 2:
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92284-2345
Practice Address - Country:US
Practice Address - Phone:760-799-7536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical